Tag Archives: balance

The Star Excursions Balance Test

The Star Excursions Balance Test (SEBT) is a fabulous functional test that can tell us a lot about the mobility and stability of the ankle, knee, and hip joints. On top of being a functional test, the star excursion can also be used as an exercise, and via a series of progressions, which we will discuss in more detail later, can help you train for better running performance and injury prevention. Why is the Star Excursion Balance Test Important? The importance of Star Excursions Balance Test’s lying behind the fact that this test allows for testing with one motion the capacity of your ankle to stay stable on the surface of support (the floor) and how this stability is transmitted to the knee first and consequently to the hip. This is possible because the transfer of vertical pressure that is appllied to each joint while you are aiming to get the movement done. The movement required is to keep the feet of the anchor down to the floor, from the toes to the heel, while with the other foot, you aim to reach the furthest point away within the eight cardinal directions (like a star *). Along those movements, then, we also get observational data about your: Proprioception: The ability to sense the position of the body and its parts in space. Balance: The ability to control the body’s centre of mass over a stable base of support. Functional Movement: How well the body can perform multi-directional movements, such as stepping, reaching, and stabilising. So, if you are someone who has sustained lower limb injuries, particularly around the ankle, knee, or hip, these capabilities are often compromised. By using the Star Excursion Balance Test, we can assess any deficits in these areas, which might increase the risk of re-injury or limit recovery progress. But not only that. Indeed, that information will shape the recovery program, allowing us to understand better which muscle group or joint we need to focus more on with the exercises. That said, runners also benefit significantly from the SEBT. Running is a dynamic activity that places high demand on the lower extremities. Even minor imbalances or weaknesses can lead to issues like IT band syndrome, shin splints, and knee pain. The Star Excursion Balance Test helps in identifying these early warning signs before they evolve into more serious conditions. What Does the Star Excursion Test Measure? The primary purpose of the SEBT is to evaluate a person’s capacity to control body movement while standing on one leg. In fact, the test consists of reaching with one leg in multiple directions (anterior, posterior, medial, and lateral and a mix of those directions) while maintaining balance on the other leg. This shows their neuromuscular control and postural stability. It mimics the demands placed on the body during dynamic activities like running, cutting, and jumping. In rehabilitation, the Star Excursion Balance Test trains and improves: Ankle Stability and Control: It challenges the ankle to support the body’s weight while shifting through various planes of motion. Knee and Hip Joint Function: By demanding strength and flexibility in the lower limb, it helps retrain the kinetic chain, especially after joint injury. Balance and Proprioception: The test improves your ability to sense where your body is in space, which is essential for both preventing and recovering from injuries. Postural Awareness: Training balance also trains your ability to maintain proper posture, which can reduce stress on your joints and muscles during exercise. The Progression of the Star Excursion Test The beauty of the Star Excursion Test is its flexibility. It can be adapted based on the individual’s injury level, fitness, and goals. The test itself involves several variations, which I implement depending on the stage of recovery or the individual’s needs: Softer Ground: For those in the early stages of rehabilitation, we may perform the test on a softer surface, such as a foam pad or balance disc. This reduces the stability of the base and forces the individual to engage more stabilizing muscles, which aids in proprioceptive training and can be beneficial for rebuilding ankle and knee control. Weight on the Ankle: For those who have had ankle injuries, I often modify the test to place more weight on the injured ankle. This helps rebuild strength and functional control, as it forces the injured area to bear load and engage in movement patterns that may have been avoided during the healing phase. Eyes Closed: To increase the challenge, I sometimes ask my clients to perform the test with their eyes closed. This removes visual input, forcing the body to rely more on internal feedback (proprioception). This is especially important in the latter stages of rehabilitation, as it helps to refine neuromuscular control and reduce reliance on external cues. Using the Star Excursion Test with Lower Limb Injury Recovery and Runners The SEBT is a functional test that I like to use, with all its variations, to assess the progress of patient recovery. Either that you present with an injury, or either that you want to improve your form and body functionality through out exercises, the SEBT allows us to look in depth in what we need to work on too. For example, after a sprained ankle, I’ll often use the SEBT to check whether an individual is able to move without compensation, ensuring that their body has regained sufficient control and strength before returning to activities like running or sports. And this, don’t be surprised, is something that I do and has to be done whenever someone presents with complaints about knee or hip pain too. Again, an unstable ankle would transmit that instability up the chain. On the other hands for runners, the test helps evaluate areas of weakness that might predispose them to injuries such as Achilles tendinopathy, patellofemoral pain, or iliotibial band syndrome. Since running places repetitive stress on the lower limbs, identifying and addressing weaknesses early can prevent long-term problems and improve overall performance. Myotherapy and SEBT […]

Food intake, massage and awareness

Why food and massage are such important things? In a fast and modern society like the one that we are living in today, knowing what food to consume, can be a tough task. Even though food shapes our body, our health and indeed food can intake can increase the benefit of massage. Often we have a short time, and a tight budget and we go for what catches our eye which is not always the healthiest option. As the food industry did evolve to be one of the most complex marketing industries in the world, if someone has to sell you food before thinking about your health, most of the time, they will think about how to sell you a cheap and high-profit product. There you go then with colourful and ergonomic packaging, health benefit status and star rating. But why we would need all these suggestions about what to eat when we could work out our diet on our own by being present in the body and the mind? Is that so hard to do it? And how massage therapy can help? Let me share with you my path, which did allow me to build some food and body awareness. When I was a kid/teenager I grow up in a family where food preparation/consumption would be a ritual and a way to spend time together. Mum would spend most of her free time cooking for the family (3 kids and husband) and would try to vary the intake of nutrients by following the seasonal products and the traditions of the culture she did grow up in too. On the other hand, I was the spoiled one who would have to complain all the time that the food on the table would not suit my taste. As I grow older and came to Australia (I was 22 at that time) I realized that I could eat whatever the fresh food industry would have to offer. In a matter of days, I lost the idea that processed food was the only thing I could go for and soon I realized that I did waste so much energy and time as a kid fighting back mum’s hard work. How I did do that? Well, everything started in Italy actually, just a few months before I was leaving for Australia. I had a blood test for general health concerns and my GP at that time did make me notice that my liver was stressed. I was not a heavy drinker or drug/medicinal user, so my liver could be under stress just because my food intake was not proper. Too many small goods, processed food and low intake of veggies and fruit. A few weeks later I did end up in Tuscany at Poggio Antico farm to do a WWOOF experience. Is there that I had my first and in-volunteer experience as a vegetarian eater. I was picking olives all day long and even if I was requested to work a few hours a day I was pushing myself to make the most out of that work experience. The family that hosts me, was a vegetarian and they would prepare and grow all their food, from Olive oil to cheese, bread, veggies and fruits. After about 10 days of hard work ( I was working voluntarily for about 8 to 10 hours a day) I end up gaining weight and was surprised when I end got back home I did another blood test and my liver was back to a healthy state. That experience gave me the biggest inspiration for food intake. Food is not what I want or what I would crave, but the food is about what my body needs and what Mother Nature has to offer. So soon after the Tuscany experience, I came to Australia and start working in the hospitality industry as Pizza Maker. That’s where I start acknowledging how for the sake of profit, those who sell you ready food to eat, will sacrifice your health in exchange for a bigger profit. In the following years, I stop eating processed food and became vegetarian too. Now, the fact that I choose not to eat animal flash is a personal choice that doesn’t suit all and I don’t think that has to be the choice of us all. I rather think that if your body needs meat/fish you should allow yourself to consume it. But just make sure to buy and consume sustainable products, of high quality and once in a while, not cheap stuff daily. How then be so in tune with the body? Well, the body will maybe not speak our language, but definitely will send out signals on what it does tolerate and what it doesn’t. For example, a daily intake of high sugar will puff the skin up. You will easily notice as the vain of your arms are not visible anymore, your stomach would swell and your breath will become heavy and smelly. These are a few signs of stomach acidity. The colour, consistency and timing of your faeces would not be regular too as your intestine is having a hard time processing the high-acid food. All these body signs will then affect your mood, so you will easily feel grumpy, depressed, or anxious and of how the correlation between body-mind and stomach-brain works you will easily end up in a cycle of eating for craving and not eating for northing your body. One way to break this cycle is to: Observe and also start writing down how you feel when you are craving high process food. As the craving arises, rather than opening a package of highly processed food go for seasonal fruits and raw nuts. Have regulars cycle meals such as Breakfast/Lunch/Dinner and fewer intermediate snacks made of processed food. When you want to buy package food, learn how to read and understand the ingredients that are in it. Corn Syrup, High Fructose Corn Syrup, Cane Sugar Syrup, Cane Molasses, Golden […]


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